Frail Elderly
Health Services for the Aged
Geriatric Assessment
Home Care Services
Judaism
Geriatric Nursing
Patient Medication Knowledge
Activities of Daily Living
Nursing Homes
Transfer Agreement
Long-Term Care
Delivery of Health Care, Integrated
Homes for the Aged
Community Health Nursing
Netherlands
Models, Organizational
Health Status
Community Health Services
Caregivers
Outcome Assessment (Health Care)
Dietary Supplements
Risk Factors
Aging
Follow-Up Studies
Treatment Outcome
Housing for the Elderly
Alzheimer's disease in the United Kingdom: developing patient and carer support strategies to encourage care in the community. (1/852)
Alzheimer's disease is a growing challenge for care providers and purchasers. With the shift away from the provision of long term institutional care in most developed countries, there is a growing tendency for patients with Alzheimer's disease to be cared for at home. In the United Kingdom, this change of direction contrasts with the policies of the 1980s and 90s which focused more attention on controlling costs than on assessment of the needs of the patient and carer and patient management. In recent years, the resources available for management of Alzheimer's disease have focused on institutional care, coupled with drug treatment to control difficult behaviour as the disease progresses. For these reasons, the current system has led to crisis management rather than preventive support--that is, long term care for a few rather than assistance in the home before the crises occur and institutional care is needed. Despite recent innovations in the care of patients with Alzheimer's disease, the nature of the support that patients and carers receive is poorly defined and sometimes inadequate. As a result of the shift towards care in the community, the informal carer occupies an increasingly central role in the care of these patients and the issue of how the best quality of care may be defined and delivered is an issue which is now ripe for review. The objective of this paper is to redefine the type of support that patients and carers should receive so that the disease can be managed more effectively in the community. The needs of patients with Alzheimer's disease and their carers are many and this should be taken into account in defining the quality and structure of healthcare support. This paper shows how new initiatives, combined with recently available symptomatic drug treatment, can allow patients with Alzheimer's disease to be maintained at home for longer. This will have the dual impact of raising the quality of care for patients and improving the quality of life for their carers. Moreover, maintaining patients in a home environment will tend to limit public and private expenditure on institutional care due to a possible delay in the need for it. (+info)Strategies to improve the quality of oral health care for frail and dependent older people. (2/852)
The dental profile of the population of most industrialised countries is changing. For the first time in at least a century most elderly people in the United Kingdom will soon have some of their own natural teeth. This could be beneficial for the frail and dependent elderly, as natural teeth are associated with greater dietary freedom of choice and good nutrition. There may also be problems including high levels of dental disease associated with poor hygiene and diet. New data from a national oral health survey in Great Britain is presented. The few dentate elderly people in institutions at the moment have poor hygiene and high levels of dental decay. If these problems persist as dentate younger generations get older, the burden of care will be substantial. Many dental problems in elderly people are preventable or would benefit from early intervention. Strategies to approach these problems are presented. (+info)A simple and reproducible method for collecting nasal secretions in frail elderly adults, for measurement of virus-specific IgA. (3/852)
The standard method for collection of respiratory secretions, by use of a nasal wash (NW) to measure virus-specific IgA, is problematic in frail elderly adults. Therefore, a simplified collection approach using a nasal swab (NS) is described. NW and NS samples were collected from healthy young and frail elderly adults, and IgA titers to respiratory syncytial virus (RSV) fusion and attachment glycoproteins were determined by enzyme immunoassay. Correlation between IgA titers in NW and NS was excellent for each of the antigens (correlation coefficients,.71-.93). In addition, NS results were reproducible when frail elderly subjects were sampled several weeks apart and were nearly equivalent to results from NW samples. The ability to sample nasal secretions by use of an NS when an NW is not technically feasible will facilitate the study of mucosal immunity to RSV as well as the study of mucosal response to candidate RSV vaccines in frail elderly populations. (+info)Development of sex-specific equations for estimating stature of frail elderly Hispanics living in the northeastern United States. (4/852)
BACKGROUND: The accurate measurement of stature is not possible in many frail elderly persons because of problems affecting their ability to stand straight. In such cases, knee height may be used to estimate stature. OBJECTIVE: This study was designed to explore the applicability of published regression equations to estimate stature of Puerto Rican and other Hispanic elderly persons living in the northeastern United States and to formulate ethnicity-specific equations for these persons. DESIGN: The study subjects (60-92 y of age) included 569 Hispanics and a comparison group of 153 non-Hispanic whites. Equations to estimate stature of Hispanics and Puerto Ricans living in the northeastern United States were developed with regression models in a randomly selected subgroup of the Hispanics. These equations were tested with the remaining Hispanic subgroup. RESULTS: The published equations significantly overestimated stature of our Hispanic subjects. Equations developed for Massachusetts Hispanics and Puerto Ricans provided estimates of stature that did not differ significantly from measured stature. We found further that equations for non-Hispanic whites published in 1985 predicted statures of our relatively low-income, non-Hispanic white subjects better than did newer 1998 equations developed from a national sample. CONCLUSIONS: The stature of elderly Hispanics from the northeastern United States can be estimated by using equations derived from the same population. These, or similar equations, should be used to estimate stature of frail elderly persons for whom standing height cannot be taken accurately. Socioeconomic status as well as ethnicity may affect results when knee height equations are used. (+info)How ready are health plans for Medicare? (5/852)
CONTEXT: The Medicare program is encouraging its beneficiaries to enroll in capitated health plans. OBJECTIVE: To determine how prepared these plans are to handle chronically ill and frail elderly persons. DESIGN: Telephone survey of 28 health plans that together serve about one fourth of all enrollees of the Medicare Risk program. MEASURES: The degree of readiness (high, intermediate, or low) of health plans in seven domains that experts believe are important to the management of an elderly population. RESULTS: None of the 28 health plans had high readiness scores for all seven domains. The two domains for which the plans were most prepared were risk assessment and member self-care. The plans were least prepared for the domains of cooperative team care and geriatric consultations. CONCLUSIONS: Many plans do not offer the programs that experts believe are important for Medicare enrollees. They may hesitate to adopt strategies that lack data on effectiveness. (+info)Serological response to influenza vaccination and nutritional and functional status of patients in geriatric medical long-term care. (6/852)
INTRODUCTION: in the UK the Department of Health recommends influenza vaccination for elderly people resident in institutional care. However, the efficacy of vaccination may be reduced in very frail elderly people with functional impairment, undernutrition and multiple pathologies. Nutritional and functional status is claimed to affect vaccine responses in healthy elderly subjects. We wished to determine if a relationship could be seen between nutritional and functional status and seroconversion in patients receiving long- term care. METHODS: all patients in geriatric medical long-term care were offered vaccine. Consenting patients had pre- and post-vaccine serology measured using single radial haemolysis. Anthropometry was measured to enable body mass index (BMI) to be calculated. Functional independence was assessed using the 20-point Barthel index. RESULTS: of 260 patients who received influenza vaccine, 137 (36 male, 101 female) consented to venesection for serology and thus form the study population. Mean age was 82 years (SD 7.9). The median Barthel score was 3/20 and the mean BMI was 21.6 (SD 4.6, range 13-36.2). Antibodies to influenza A were undetectable both pre- and post-vaccination in 63/137 patients. In 49 patients the antibody titre rose after vaccination and 25 had detectable antibody titres pre-vaccination which failed to rise post-vaccine. There were no significant associations between post-vaccination influenza antibody responses and BMI, Barthel score or age. CONCLUSION: frail elderly patients in geriatric medical long-term care had a poor antibody response to influenza vaccination. Within this group, serological responses could not be predicted by nutritional or functional status. (+info)Managing elderly people's osteoporosis. Why? Who? How? (7/852)
OBJECTIVE: To guide family physicians through assessment of why treating elderly people's osteoporosis is necessary, who to treat, and how to treat in a practical way. QUALITY OF EVIDENCE: Evidence of the efficacy of treatment for osteoporosis is shown by a reduced probability of fracture. This can be ascertained by direct evaluation for bisphosphonates, calcium, and calcitonin, or indirectly by ascertaining benefit to bone mineral density for hormone replacement therapy (HRT) and exercise. MAIN MESSAGE: Unless medically contraindicated, all elderly people should take supplementary vitamin D (800 IU/d) and calcium (1500 mg/d). Those with risk factors for osteoporosis (e.g., smoking, thinness, previous fracture when older than 50 years, fracture in first-degree relatives older than 50 years, and steroid use) should have a bone density measurement. Those meeting World Health Organization criteria for osteoporosis should also be treated with HRT or bisphosphonates or possibly with selective estrogen receptor modulators. CONCLUSIONS: Good evidence indicates that adequate treatment of osteoporosis can prevent fractures and thus reduce associated morbidity and mortality among vulnerable elderly people. Because of the prevalence of osteoporosis, the onus falls on family physicians to be the front-line managers. (+info)Resistance exercise training increases mixed muscle protein synthesis rate in frail women and men >/=76 yr old. (8/852)
Muscle atrophy (sarcopenia) in the elderly is associated with a reduced rate of muscle protein synthesis. The purpose of this study was to determine if weight-lifting exercise increases the rate of muscle protein synthesis in physically frail 76- to 92-yr-old women and men. Eight women and 4 men with mild to moderate physical frailty were enrolled in a 3-mo physical therapy program that was followed by 3 mo of supervised weight-lifting exercise. Supervised weight-lifting exercise was performed 3 days/wk at 65-100% of initial 1-repetition maximum on five upper and three lower body exercises. Compared with before resistance training, the in vivo incorporation rate of [(13)C]leucine into vastus lateralis muscle protein was increased after resistance training in women and men (P < 0.01), although it was unchanged in five 82 +/- 2-yr-old control subjects studied two times in 3 mo. Maximum voluntary knee extensor muscle torque production increased in the supervised resistance exercise group. These findings suggest that muscle contractile protein synthetic pathways in physically frail 76- to 92-yr-old women and men respond and adapt to the increased contractile activity associated with progressive resistance exercise training. (+info)The term "frail elderly" is not a formal medical diagnosis, but rather a general description used to identify older adults who are vulnerable and at increased risk for negative health outcomes. Frailty is a complex syndrome characterized by decreased physiological reserve and resistance to stressors, which results in increased vulnerability to adverse outcomes.
The frail elderly often have multiple chronic conditions, cognitive impairment, functional limitations, social isolation, poor nutritional status, and sensory deficits. These factors contribute to a decline in their physical function, mobility, and overall health, making them more susceptible to falls, disability, hospitalization, institutionalization, and mortality.
There are several tools and criteria used to define frailty, including the Frailty Phenotype model proposed by Fried et al., which identifies frailty based on the presence of three or more of the following five criteria: unintentional weight loss, weakness (measured by grip strength), self-reported exhaustion, slow walking speed, and low physical activity. Another commonly used tool is the Clinical Frailty Scale, which assesses frailty based on a person's level of dependence and coexisting medical conditions.
It is important to note that frailty is not an inevitable part of aging, and interventions aimed at addressing its underlying causes can help improve outcomes for the frail elderly. These interventions may include exercise programs, nutritional support, medication management, and social engagement.
"Health services for the aged" is a broad term that refers to medical and healthcare services specifically designed to meet the unique needs of elderly individuals. According to the World Health Organization (WHO), health services for the aged should be "age-friendly" and "person-centered," meaning they should take into account the physical, mental, and social changes that occur as people age, as well as their individual preferences and values.
These services can include a range of medical and healthcare interventions, such as:
* Preventive care, including vaccinations, cancer screenings, and other routine check-ups
* Chronic disease management, such as treatment for conditions like diabetes, heart disease, or arthritis
* Rehabilitation services, such as physical therapy or occupational therapy, to help elderly individuals maintain their mobility and independence
* Palliative care and end-of-life planning, to ensure that elderly individuals receive compassionate and supportive care in their final days
* Mental health services, including counseling and therapy for conditions like depression or anxiety
* Social services, such as transportation assistance, meal delivery, or home care, to help elderly individuals maintain their quality of life and independence.
Overall, the goal of health services for the aged is to promote healthy aging, prevent disease and disability, and provide high-quality, compassionate care to elderly individuals, in order to improve their overall health and well-being.
A geriatric assessment is a comprehensive, multidimensional evaluation of an older adult's functional ability, mental health, social support, and overall health status. It is used to identify any medical, psychological, or social problems that could affect the person's ability to live independently and safely, and to develop an individualized plan of care to address those issues.
The assessment typically includes a review of the person's medical history, medications, cognitive function, mobility, sensory function, nutrition, continence, and mood. It may also include assessments of the person's social support network, living situation, and financial resources. The goal of the geriatric assessment is to help older adults maintain their independence and quality of life for as long as possible by addressing any issues that could put them at risk for disability or institutionalization.
Home care services, also known as home health care, refer to a wide range of health and social services delivered at an individual's residence. These services are designed to help people who have special needs or disabilities, those recovering from illness or surgery, and the elderly or frail who require assistance with activities of daily living (ADLs) or skilled nursing care.
Home care services can include:
1. Skilled Nursing Care: Provided by registered nurses (RNs), licensed practical nurses (LPNs), or licensed vocational nurses (LVNs) to administer medications, wound care, injections, and other medical treatments. They also monitor the patient's health status, provide education on disease management, and coordinate with other healthcare professionals.
2. Therapy Services: Occupational therapists, physical therapists, and speech-language pathologists help patients regain strength, mobility, coordination, balance, and communication skills after an illness or injury. They develop personalized treatment plans to improve the patient's ability to perform daily activities independently.
3. Personal Care/Assistance with Activities of Daily Living (ADLs): Home health aides and personal care assistants provide assistance with bathing, dressing, grooming, toileting, and other personal care tasks. They may also help with light housekeeping, meal preparation, and shopping.
4. Social Work Services: Provided by licensed social workers who assess the patient's psychosocial needs, connect them to community resources, and provide counseling and support for patients and their families.
5. Nutritional Support: Registered dietitians evaluate the patient's nutritional status, develop meal plans, and provide education on special diets or feeding techniques as needed.
6. Telehealth Monitoring: Remote monitoring of a patient's health status using technology such as video conferencing, wearable devices, or mobile apps to track vital signs, medication adherence, and symptoms. This allows healthcare providers to monitor patients closely and adjust treatment plans as necessary without requiring in-person visits.
7. Hospice Care: End-of-life care provided in the patient's home to manage pain, provide emotional support, and address spiritual needs. The goal is to help the patient maintain dignity and quality of life during their final days.
8. Respite Care: Temporary relief for family caregivers who need a break from caring for their loved ones. This can include short-term stays in assisted living facilities or hiring professional caregivers to provide in-home support.
I'm sorry for any confusion, but "Judaism" is not a medical term. It is a religion, ethnicity, and culture originating in the Judaea region of the Middle East. Judaism is based on the teachings of the Torah and the Talmud, and it includes various practices, beliefs, and traditions. If you have any questions about medical terminology or health-related topics, I would be happy to try to help answer those for you.
Geriatric nursing is a specialized area of nursing practice that focuses on the care of older adults, typically those aged 65 and over. It involves providing comprehensive nursing care to this population group, addressing their unique healthcare needs and promoting their overall well-being. Geriatric nurses work in various settings, including hospitals, long-term care facilities, community health centers, and home health agencies.
The primary goals of geriatric nursing are to:
1. Promote functional independence and quality of life for older adults.
2. Prevent or manage chronic conditions and disabilities that commonly occur in later life.
3. Provide patient-centered care that respects the autonomy, dignity, and cultural diversity of older adults.
4. Collaborate with interdisciplinary teams to develop individualized care plans that address physical, mental, emotional, and social needs.
5. Educate older adults, their families, and caregivers about health promotion strategies, disease prevention, and self-care management.
6. Advocate for the rights and access to healthcare services for older adults.
Geriatric nurses must have a deep understanding of the aging process, common age-related diseases and conditions, and evidence-based practices for managing them. They also need excellent communication skills, empathy, patience, and a strong commitment to providing compassionate care to this vulnerable population.
Patient medication knowledge, also known as patient medication literacy or medication adherence, refers to the ability of a patient to understand and effectively communicate about their medications, including what they are for, how and when to take them, potential side effects, and other important information. This is an essential component of medication management, as it allows patients to properly follow their treatment plans and achieve better health outcomes. Factors that can affect patient medication knowledge include age, education level, language barriers, and cognitive impairments. Healthcare providers play a key role in promoting patient medication knowledge by providing clear and concise instructions, using visual aids when necessary, and regularly assessing patients' understanding of their medications.
Activities of Daily Living (ADL) are routine self-care activities that individuals usually do every day without assistance. These activities are widely used as a measure to determine the functional status and independence of a person, particularly in the elderly or those with disabilities or chronic illnesses. The basic ADLs include:
1. Personal hygiene: Bathing, washing hands and face, brushing teeth, grooming, and using the toilet.
2. Dressing: Selecting appropriate clothes and dressing oneself.
3. Eating: Preparing and consuming food, either independently or with assistive devices.
4. Mobility: Moving in and out of bed, chairs, or wheelchairs, walking independently or using mobility aids.
5. Transferring: Moving from one place to another, such as getting in and out of a car, bath, or bed.
There are also more complex Instrumental Activities of Daily Living (IADLs) that assess an individual's ability to manage their own life and live independently. These include managing finances, shopping for groceries, using the telephone, taking medications as prescribed, preparing meals, and housekeeping tasks.
A nursing home, also known as a skilled nursing facility, is a type of residential healthcare facility that provides round-the-clock care and assistance to individuals who require a high level of medical care and support with activities of daily living. Nursing homes are designed for people who cannot be cared for at home or in an assisted living facility due to their complex medical needs, mobility limitations, or cognitive impairments.
Nursing homes provide a range of services, including:
1. Skilled nursing care: Registered nurses and licensed practical nurses provide 24-hour medical care and monitoring for residents with chronic illnesses, disabilities, or those recovering from surgery or illness.
2. Rehabilitation services: Physical, occupational, and speech therapists help residents regain strength, mobility, and communication skills after an injury, illness, or surgery.
3. Personal care: Certified nursing assistants (CNAs) help residents with activities of daily living, such as bathing, dressing, grooming, and using the bathroom.
4. Meals and nutrition: Nursing homes provide three meals a day, plus snacks, and accommodate special dietary needs.
5. Social activities: Recreational programs and social events are organized to help residents stay active and engaged with their peers.
6. Hospice care: Some nursing homes offer end-of-life care for residents who require palliative or comfort measures.
7. Secure environments: For residents with memory impairments, specialized units called memory care or Alzheimer's units provide a secure and structured environment to help maintain their safety and well-being.
When selecting a nursing home, it is essential to consider factors such as the quality of care, staff-to-resident ratio, cleanliness, and overall atmosphere to ensure the best possible experience for the resident.
A "Transfer Agreement" in a medical context typically refers to an arrangement between healthcare facilities or systems that outlines the procedures and conditions for transferring a patient from one facility to another. This may include details such as the responsible parties for the transfer, the mode of transportation, and the specific clinical information related to the patient's condition and treatment needs.
Such agreements can be particularly important in situations where patients require specialized care that is not available at their current facility, or when they need to be transferred to a higher level of care, such as from a hospital to a long-term acute care facility. Transfer agreements help ensure continuity of care and can also establish clear expectations for all parties involved, which can be critical in emergency situations where timely and effective communication is essential.
Long-term care (LTC) is a term used to describe various medical and support services that are required by individuals who need assistance with activities of daily living (such as bathing, dressing, using the toilet) or who have chronic health conditions that require ongoing supervision and care. LTC can be provided in a variety of settings, including nursing homes, assisted living facilities, adult day care centers, and private homes.
The goal of LTC is to help individuals maintain their independence and quality of life for as long as possible, while also ensuring that they receive the necessary medical and support services to meet their needs. LTC can be provided on a short-term or long-term basis, depending on the individual's needs and circumstances.
LTC is often required by older adults who have physical or cognitive limitations, but it can also be needed by people of any age who have disabilities or chronic illnesses that require ongoing care. LTC services may include nursing care, therapy (such as occupational, physical, or speech therapy), personal care (such as help with bathing and dressing), and social activities.
LTC is typically not covered by traditional health insurance plans, but it may be covered by long-term care insurance policies, Medicaid, or other government programs. It's important to plan for LTC needs well in advance, as the cost of care can be significant and can have a major impact on an individual's financial resources.
An accidental fall is an unplanned, unexpected event in which a person suddenly and involuntarily comes to rest on the ground or other lower level, excluding intentional changes in position (e.g., jumping to catch a ball) and landings that are part of a planned activity (e.g., diving into a pool). Accidental falls can occur for various reasons, such as environmental hazards, muscle weakness, balance problems, visual impairment, or certain medical conditions. They are a significant health concern, particularly among older adults, as they can lead to serious injuries, loss of independence, reduced quality of life, and increased mortality.
The term "Integrated Delivery of Healthcare" refers to a coordinated and seamless approach to providing healthcare services, where different providers and specialists work together to provide comprehensive care for patients. This model aims to improve patient outcomes by ensuring that all aspects of a person's health are addressed in a holistic and coordinated manner.
Integrated delivery of healthcare may involve various components such as:
1. Primary Care: A primary care provider serves as the first point of contact for patients and coordinates their care with other specialists and providers.
2. Specialty Care: Specialists provide care for specific medical conditions or diseases, working closely with primary care providers to ensure coordinated care.
3. Mental Health Services: Mental health providers work alongside medical professionals to address the mental and emotional needs of patients, recognizing that mental health is an essential component of overall health.
4. Preventive Care: Preventive services such as screenings, vaccinations, and health education are provided to help prevent illnesses and promote overall health and well-being.
5. Chronic Disease Management: Providers work together to manage chronic diseases such as diabetes, heart disease, and cancer, using evidence-based practices and coordinated care plans.
6. Health Information Technology: Electronic health records (EHRs) and other health information technologies are used to facilitate communication and coordination among providers, ensuring that all members of the care team have access to up-to-date patient information.
7. Patient Engagement: Patients are actively engaged in their care, with education and support provided to help them make informed decisions about their health and treatment options.
The goal of integrated delivery of healthcare is to provide high-quality, cost-effective care that meets the unique needs of each patient, while also improving overall population health.
I couldn't find a specific medical definition for "Homes for the Aged," as it is more commonly referred to in social work or public health contexts. However, I can provide you with some related information:
"Homes for the Aged" are typically residential facilities designed to provide housing, support services, and care for older adults, often with lower levels of medical needs compared to nursing homes. These facilities might offer assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, and managing medications. They can be an alternative to aging in place or moving in with family members.
In a broader public health context, "Homes for the Aged" may fall under the category of congregate housing or assisted living facilities. These settings aim to promote social interaction, autonomy, and independence while offering help with daily tasks and ensuring the safety of their residents.
It is essential to research and visit various facilities to ensure they meet individual needs, preferences, and healthcare requirements when considering Homes for the Aged for yourself or a loved one.
Community health nursing, also known as public health nursing, is a specialized area of nursing practice that focuses on improving the health and well-being of communities and populations. It involves the assessment, diagnosis, intervention, and evaluation of the health needs of communities, and the development and implementation of programs and interventions to address those needs.
Community health nurses work in a variety of settings, including community health centers, public health departments, schools, and home health agencies. They may provide direct care to individuals and families, as well as coordinate and deliver population-based services such as immunization clinics, health education programs, and screenings.
The goal of community health nursing is to promote and protect the health of communities and populations, particularly those who are most vulnerable or at risk. This may include addressing issues such as infectious disease prevention and control, chronic disease management, maternal and child health, environmental health, and access to care. Community health nurses also play an important role in advocating for policies and practices that support the health and well-being of communities and populations.
I'm sorry for any confusion, but "Netherlands" is not a medical term. It is a country located in Western Europe, known for its artistic heritage, elaborate canal system, and legalized marijuana and prostitution. If you have any questions about medical terms or concepts, I would be happy to help with those!
Organizational models in the context of medicine refer to frameworks that are used to describe, analyze, and improve the structure, processes, and outcomes of healthcare organizations. These models provide a systematic way of understanding how different components of an organization interact with each other and how they contribute to the overall performance of the system.
Examples of organizational models in healthcare include:
1. The Donabedian model: This model focuses on the structure, process, and outcome of healthcare as interrelated components that influence the quality of care.
2. The Baldrige Performance Excellence Program: This model provides a framework for organizations to evaluate their performance and identify areas for improvement in seven categories: leadership, strategic planning, customer focus, measurement, analysis, and knowledge management; workforce focus; process management; and results.
3. The Institute of Medicine's (IOM) six aims for improvement: The IOM has identified six aims that should be the focus of healthcare quality improvement efforts: safety, timeliness, patient-centeredness, effectiveness, efficiency, and equity.
4. The Lean management system: This model is a process improvement approach that focuses on eliminating waste and maximizing value for customers through continuous improvement and respect for people.
5. The Six Sigma methodology: This model is a data-driven approach to quality improvement that seeks to reduce variation and defects in processes through the use of statistical tools and techniques.
These are just a few examples of organizational models used in healthcare. Each model has its own strengths and limitations, and organizations may choose to adopt one or more models depending on their specific needs and goals.
Health status is a term used to describe the overall condition of an individual's health, including physical, mental, and social well-being. It is often assessed through various measures such as medical history, physical examination, laboratory tests, and self-reported health assessments. Health status can be used to identify health disparities, track changes in population health over time, and evaluate the effectiveness of healthcare interventions.
Community health services refer to a type of healthcare delivery that is organized around the needs of a specific population or community, rather than individual patients. These services are typically focused on preventive care, health promotion, and improving access to care for underserved populations. They can include a wide range of services, such as:
* Primary care, including routine check-ups, immunizations, and screenings
* Dental care
* Mental health and substance abuse treatment
* Public health initiatives, such as disease prevention and health education programs
* Home health care and other supportive services for people with chronic illnesses or disabilities
* Health services for special populations, such as children, the elderly, or those living in rural areas
The goal of community health services is to improve the overall health of a population by addressing the social, economic, and environmental factors that can impact health. This approach recognizes that healthcare is just one factor in determining a person's health outcomes, and that other factors such as housing, education, and income also play important roles. By working to address these underlying determinants of health, community health services aim to improve the health and well-being of entire communities.
Nutritional status is a concept that refers to the condition of an individual in relation to their nutrient intake, absorption, metabolism, and excretion. It encompasses various aspects such as body weight, muscle mass, fat distribution, presence of any deficiencies or excesses of specific nutrients, and overall health status.
A comprehensive assessment of nutritional status typically includes a review of dietary intake, anthropometric measurements (such as height, weight, waist circumference, blood pressure), laboratory tests (such as serum albumin, total protein, cholesterol levels, vitamin and mineral levels), and clinical evaluation for signs of malnutrition or overnutrition.
Malnutrition can result from inadequate intake or absorption of nutrients, increased nutrient requirements due to illness or injury, or excessive loss of nutrients due to medical conditions. On the other hand, overnutrition can lead to obesity and related health problems such as diabetes, cardiovascular disease, and certain types of cancer.
Therefore, maintaining a good nutritional status is essential for overall health and well-being, and it is an important consideration in the prevention, diagnosis, and treatment of various medical conditions.
A caregiver is an individual who provides assistance and support to another person who is unable to meet their own needs for activities of daily living due to illness, disability, frailty, or other reasons. Caregiving can take many forms, including providing physical care, emotional support, managing medications, assisting with mobility, and helping with household tasks and errands. Caregivers may be family members, friends, or professional providers, and the level of care they provide can range from a few hours a week to round-the-clock assistance. In medical contexts, caregivers are often referred to as informal or family caregivers when they are unpaid relatives or friends, and professional or paid caregivers when they are hired to provide care.
A dietary supplement is a product that contains nutrients, such as vitamins, minerals, amino acids, herbs or other botanicals, and is intended to be taken by mouth, to supplement the diet. Dietary supplements can include a wide range of products, such as vitamin and mineral supplements, herbal supplements, and sports nutrition products.
Dietary supplements are not intended to treat, diagnose, cure, or alleviate the effects of diseases. They are intended to be used as a way to add extra nutrients to the diet or to support specific health functions. It is important to note that dietary supplements are not subject to the same rigorous testing and regulations as drugs, so it is important to choose products carefully and consult with a healthcare provider if you have any questions or concerns about using them.
Hospitalization is the process of admitting a patient to a hospital for the purpose of receiving medical treatment, surgery, or other health care services. It involves staying in the hospital as an inpatient, typically under the care of doctors, nurses, and other healthcare professionals. The length of stay can vary depending on the individual's medical condition and the type of treatment required. Hospitalization may be necessary for a variety of reasons, such as to receive intensive care, to undergo diagnostic tests or procedures, to recover from surgery, or to manage chronic illnesses or injuries.
Medical Definition:
"Risk factors" are any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. They can be divided into modifiable and non-modifiable risk factors. Modifiable risk factors are those that can be changed through lifestyle choices or medical treatment, while non-modifiable risk factors are inherent traits such as age, gender, or genetic predisposition. Examples of modifiable risk factors include smoking, alcohol consumption, physical inactivity, and unhealthy diet, while non-modifiable risk factors include age, sex, and family history. It is important to note that having a risk factor does not guarantee that a person will develop the disease, but rather indicates an increased susceptibility.
Aging is a complex, progressive and inevitable process of bodily changes over time, characterized by the accumulation of cellular damage and degenerative changes that eventually lead to increased vulnerability to disease and death. It involves various biological, genetic, environmental, and lifestyle factors that contribute to the decline in physical and mental functions. The medical field studies aging through the discipline of gerontology, which aims to understand the underlying mechanisms of aging and develop interventions to promote healthy aging and extend the human healthspan.
Follow-up studies are a type of longitudinal research that involve repeated observations or measurements of the same variables over a period of time, in order to understand their long-term effects or outcomes. In medical context, follow-up studies are often used to evaluate the safety and efficacy of medical treatments, interventions, or procedures.
In a typical follow-up study, a group of individuals (called a cohort) who have received a particular treatment or intervention are identified and then followed over time through periodic assessments or data collection. The data collected may include information on clinical outcomes, adverse events, changes in symptoms or functional status, and other relevant measures.
The results of follow-up studies can provide important insights into the long-term benefits and risks of medical interventions, as well as help to identify factors that may influence treatment effectiveness or patient outcomes. However, it is important to note that follow-up studies can be subject to various biases and limitations, such as loss to follow-up, recall bias, and changes in clinical practice over time, which must be carefully considered when interpreting the results.
Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.
I couldn't find a specific medical definition for "Housing for the Elderly," as it is more related to social services and public health. However, I can provide you with some information about this concept.
Housing for the elderly refers to residential options designed specifically for older adults, often with age restrictions (e.g., 55 and over). These housing facilities aim to create living environments that cater to the unique needs and preferences of seniors. They may include features such as:
1. Accessibility accommodations: Modifications like grab bars, handrails, and wheelchair ramps to ensure safe and easy mobility for residents with limited mobility or visual impairments.
2. Social activities and amenities: Common areas for socializing, recreational facilities (e.g., fitness centers, libraries), organized events, and group outings that promote social interaction and a sense of community among residents.
3. Support services: Some housing options may offer support services like meals, housekeeping, transportation, or assistance with activities of daily living (ADLs) to help seniors maintain their independence and quality of life.
4. Safety features: Emergency call systems, fire safety equipment, and secure entries are common safety measures in elderly housing facilities.
5. Privacy: Individual living units that provide privacy and autonomy for residents while still offering access to shared spaces and social opportunities.
Housing for the elderly can be divided into several categories based on the level of care and support provided:
1. Independent Living Communities (ILCs): Also known as retirement communities or senior apartments, these facilities offer private living units with minimal support services. Residents must be able to manage their daily activities independently.
2. Assisted Living Facilities (ALFs): These housing options provide a higher level of care and support for seniors who need help with ADLs, such as bathing, dressing, or medication management. Staff is available 24/7 to assist residents as needed.
3. Continuing Care Retirement Communities (CCRCs): Also known as life plan communities, CCRCs offer a range of care options within one campus, allowing residents to transition from independent living to assisted living or skilled nursing care as their needs change over time.
4. Subsidized Housing: Affordable housing options for low-income seniors, often funded through government programs like the U.S. Department of Housing and Urban Development (HUD). These facilities may offer supportive services to help residents maintain their independence.
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Now Evidence Supports Reducing Chemo in Frail Elderly Patients
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Effects of an Advanced Practice Nursing Intervention on Caregivers of Frail Rural Elderly - Family Caregiver Alliance
Frail Elderly - Public Health - Oxford Bibliographies
How improving healthcare for the frail elderly can also cut healthcare costs - Ottawa Life Magazine
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Preventing Chronic Disease: Special Issue, November 2005: 05 0201
Interventions1
- Drs. Dittus and Muss have extensively discussed the concept of frailty, illustrated the role of geriatric assessments to better define the 'status' of the older patient, and proposed appropriate therapeutic interventions for frail women with breast cancer. (cancernetwork.com)
People26
- It's just that because a million or more people are in a hospital bed every day in this country, it only takes a few of them that are frail and disoriented and a bed that's slightly dangerous to cause a problem. (wshu.org)
- Objective measurements can be used to identify people with risks of falls, but many frail elderly adults cannot complete physical performance tests. (springer.com)
- The study examined the relationship between a subjective risk rating of specific tasks (SRRST) to screen for fall risks and falls and fall-related fractures in frail elderly people. (springer.com)
- Falls and fall-related fractures are a common cause of disability in elderly people [ 1 ], and preventing falls is an urgent medical and social issue. (springer.com)
- Successful strategies for preventing falls in frail elderly people with cognitive impairments are yet to be identified conclusively [ 10 ] and appropriate screening tools for these individuals are needed. (springer.com)
- It can be expensive and upsetting for frail people and their loved ones. (ottawalife.com)
- Dr. John Muscadere explains how Canada's healthcare system can better support frail people, who are typically elderly and more vulnerable. (ottawalife.com)
- Find out how better healthcare for people who are medically frail also improves care for people who are younger and have more resilience. (ottawalife.com)
- The elderly population comprise of a heterogeneous group of people. (myhealth.gov.my)
- The frail elderly has higher incidence of side effects from medications reported compared to the robust elderly and younger people. (myhealth.gov.my)
- The elderly and those with underlying conditions are particularly vulnerable to the virus, which has killed more than 3,800 worldwide and spread to more than 109,000 people in more than 100 countries. (latimes.com)
- MONDAY, June 8, 2020 (HealthDay News) -- Blood pressure drugs help even the most frail elderly live longer, and older people who are healthier get the biggest benefit, Italian researchers say. (towerhealth.org)
- We knew that high blood pressure medication was protective in general among older people, however, we focused on whether it is also protective in frail patients with many other medical conditions who are usually excluded from randomized trials," said lead author Dr. Giuseppe Mancia, professor emeritus at the University of Milano-Bicocca in Milan. (towerhealth.org)
- And even more so with older and/or frail people. (matiafundazioa.eus)
- In this way, pre-frail and frail people could use this system to reach an exercise capacity threshold and obtain health benefits. (myoton.com)
- Based on all the foregoing, this study provides evidence that neuron system activation through VR therapy can improve voluntary movement-related capacities (i.e., aerobic capacity, functional lower-limb strength, and reaction time) and pain, while VR therapy has no effect on capacities and characteristics associated with involuntary movement (i.e., static balance and muscle tone and stiffness) in frail and pre-frail people. (myoton.com)
- Frail elderly people admitted to hospital often receive help from relatives in managing their daily lives. (lu.se)
- Active oral health care for frail elderly people. (bvsalud.org)
- The number of elderly people in the Dutch society is increasing. (bvsalud.org)
- More elderly people keep (at least part of) their own dentition which requires pro-active oral health care. (bvsalud.org)
- Home-help for elderly people have expanded in Sweden during the period 1960 - 1980. (lu.se)
- The statute is complicated, and the proposed regulations run almost 1000 pages, but the potential impact upon the care of frail and disabled elderly people and their clinicians is easy to trace. (medicaring.org)
- Therefore, practitioners focused on frail and sick elderly people are sure to lose in MIPS, which has to stay revenue neutral: the model is designed such that every physician who "wins" in MIPS has to have a counterbalancing physician who "loses. (medicaring.org)
- Does an asymptomatic toxoplasmosis infection cause elderly people to become frailer? (pictures-of-cats.org)
- These cancers are more frequent in older people who are often too frail to undergo full course of chemotherapy. (ed.ac.uk)
- and a trajectory with prolonged gradual decline (typical of frail elderly people or people with dementia). (bmj.com)
Chemotherapy8
- In the largest trial so far to be conducted in frail elderly patients with advanced gastroesophageal cancer, a lower dose of chemotherapy produced similar outcomes but with less toxicity than the standard dose used for patients with this condition. (medscape.com)
- Many elderly or frail patients are unable to tolerate the standard combination chemotherapy regimen, he said. (medscape.com)
- Chemotherapy options in elderly and frail patients with metastatic colorectal cancer (MRC FOCUS2): an open-label, randomised factorial trial. (ox.ac.uk)
- BACKGROUND: Elderly and frail patients with cancer, although often treated with chemotherapy, are under-represented in clinical trials. (ox.ac.uk)
- We designed FOCUS2 to investigate reduced-dose chemotherapy options and to seek objective predictors of outcome in frail patients with advanced colorectal cancer. (ox.ac.uk)
- INTERPRETATION: FOCUS2 shows that with an appropriate design, including reduced starting doses of chemotherapy, frail and elderly patients can participate in a randomised controlled trial. (ox.ac.uk)
- This trial brought together researchers and clinicians from multiple centres in the UK to assess whether older and/or frail patients with advanced gastroesophageal cancer benefit from less intensive palliative chemotherapy and whether a formal Geriatric Assessment can assist treatment decision-making. (ed.ac.uk)
- The article titled " Efficacy of Reduced-Intensity Chemotherapy With Oxaliplatin and Capecitabine on Quality of Life and Cancer Control Among Older and Frail Patients With Advanced Gastroesophageal Cancer - The GO2 Phase 3 Randomized Clinical Trial " presents evidence that reduced-intensity chemotherapy provides a better patient experience without significantly compromising cancer control and should be considered for older and/or frail patients. (ed.ac.uk)
Adults2
- Caregivers of frail rural older adults. (caregiver.org)
- Then there's a new Clinician's Corner/Perspectives on Care at the Close of Life piece about palliative care for frail elderly adults . (pallimed.org)
Vulnerable3
- However, the mental health watchdog, Citizens Commission on Human Rights (CCHR) , says the study is yet another push from psychiatry to increase the use of electroshock-up to 460 volts of electricity sent through the brain-in vulnerable and frail elderly. (cchrint.org)
- A psychiatrist writing in Ethical Human Psychology and Psychiatry said that "ECT is especially devastating to the vulnerable brain and body of the elderly….As would be predicted based on the fragility of the older brain, ECT causes more severe brain dysfunction in the elderly. (cchrint.org)
- These crimes are usually targeted at the elderly, vulnerable or frail. (cambridge-news.co.uk)
Complications2
- It would therefore be extremely important, as clearly stated by Dittus and Muss, to differentiate patients who are fit from those who are currently functioning but at risk of treatment complications, and from those who are too frail to receive aggressive treatments. (cancernetwork.com)
- Elderly persons and persons with underlying health problems are at increased risk for complications of influenza. (cdc.gov)
Geriatrics1
- Dychtwald 1999 , an edited book, includes several chapters that introduce important general concepts in geriatrics, but also several focusing on the special needs of the frail elderly. (oxfordbibliographies.com)
Frailty In Elderly2
- What Causes Frailty In Elderly? (myhealth.gov.my)
- The hybrid exercise program that combined Baduanjin with strength and endurance training proved more effective at improving fitness and reversing frailty in elderly individuals. (qigonginstitute.org)
Dementia1
- But sometimes patients -- particularly frail, older ones with dementia or Alzheimer's -- can get trapped between a bedrail and the bed mattress, which can lead to serious injury or even death. (wshu.org)
Relatives4
- Nurses' experience of collaboration with relatives of frail elderly patients in acute hospital wards: A qualitative study. (lu.se)
- To illuminate nurses' experience of collaboration with relatives of frail elderly patients in acute hospital wards, and of the barriers and promoters for collaboration. (lu.se)
- In this context the family is extended and often constitute not only members from the nuclear family but also other members of the network of relatives, whom take part in the care of the elderly. (lu.se)
- And our elderly or frail relatives? (audiofilemagazine.com)
Caregivers2
- The middle-aged children of the elderly constitute another sizeable group of family caregivers. (canada.ca)
- Caregivers of the frail elderly: a national profile. (bvsalud.org)
Comprise1
- This is especially impactful in a disease with a paucity of data, particularly in our elderly or frail patients that comprise a significant portion of patients with this disease," he said. (medscape.com)
Cognitive1
- The combined supplementation of MCTs (6 g), L -leucine-rich amino acids, and cholecalciferol may improve cognitive function in frail elderly individuals. (go.jp)
Care18
- Our goal is not to provide a comprehensive list, but rather to make sense of those that are available on the market today and can reduce the care hours required by elderly persons. (payingforseniorcare.com)
- Managed care integrated nearly all of the states' Medicaid programs, including those providing Home and Community Based Services, such as the Frail Elderly (FE) Waiver. (payingforseniorcare.com)
- The Frail Elderly Waiver is designed to help seniors who require a nursing home level of care. (payingforseniorcare.com)
- These results suggest that subjective ratings by care staff can be utilized to determine the risks of falls and fall-related fractures in the frail elderly, however, these preliminary results require confirmation in further prospective research. (springer.com)
- Olson 2003 introduces the issues involved in caring for the frail elderly in long-term care establishments in the United States. (oxfordbibliographies.com)
- Various alternatives to institutionalization have been proposed as a way of providing needed care for the frail elderly, especially after hospitalization. (oxfordbibliographies.com)
- One such program is a foster care program for the frail elderly created by the Johns Hopkins Hospital and funded by the Robert Wood Johnson Foundation, described in Oktay 1988 . (oxfordbibliographies.com)
- Who will care for the frail elderly? (wikipedia.org)
- Dental general practitioners have a responsibility to provide adequate oral care for their elderly patients . (bvsalud.org)
- The family with the elderly and the home help workers' team constitute two organisations, which meet in the care work. (lu.se)
- In Sweden both home care and institutional care of the elderly has decreased during the 1980th and 1990th in spite of the fact that the proportion elderly over 80 years (4,5 % of the total population) has increased 60 % since 1980. (lu.se)
- Home care may serve as an intervention that influences the health, well-being and life quality of the elderly and other family members. (lu.se)
- In a research project1 the family and the home help services are studied as two organisations, which interact in the care of the elderly. (lu.se)
- Could MACRA Enable Care Models That Serve Frail Elders Well? (medicaring.org)
- A frail client should be treated with tender, loving care. (massagemag.com)
- The tool can play an important role in cancer care, according to clinicians who work with the elderly. (kuer.org)
- Mohile says when she saw that Griggs' dad was frail because of his other health issues, she explained that the standard treatment of care would be difficult for him. (kuer.org)
- Polypharmacy and medication adherence in the elderly are significant public-health considerations worldwide and are an important focus of integrated care. (uspharmacist.com)
Seniors1
- Both seniors were described as being elderly and frail. (9news.com)
Residents2
- We enrolled 38 elderly nursing home residents (mean age±SD, 86.6±4.8 y) in a 3-mo randomized, controlled, parallel group trial. (go.jp)
- ABSTRACT To identify activity patterns of residents in homes for the elderly in Alexandria, we carried out a study on 188 elderly persons in 4 homes (2 governmental and 2 private). (who.int)
Clinical practice1
- Due to the lack of real-world data regarding OAC treatment in frail patients, these results may inform clinical practice in the treatment of this patient population. (statinmed.com)
Younger2
- Patients in level C experienced fewer side effects and achieved better OTU outcomes than those in level A or B. This was the case even for patients who were younger and less frail. (medscape.com)
- A goal set higher than for younger elderly. (myhealth.gov.my)
Physical5
- Frailty can affect the physical, mental, emotional as well as social aspects of an elderly. (myhealth.gov.my)
- The aim of this study is to evaluate the effects of a virtual running (VR) treatment combined with specific physical gait exercise (PE) compared to placebo VR treatment combined with PE on functionality, pain, and muscular tone in pre-frail and frail older persons. (myoton.com)
- Frailty is a serious physical disorder affecting the elderly all over the world. (qigonginstitute.org)
- However, the frail elderly have low physical fitness, which limits the effectiveness of current exercise programs. (qigonginstitute.org)
- Inspired by this, we attempted to integrate Baduanjin and strength and endurance exercises into an exercise program to improve the physical fitness and alleviate frailty among the elderly. (qigonginstitute.org)
Assessment2
- A complete assessment by your doctor may help to identify elderly at risk (frail). (myhealth.gov.my)
- Geriatric assessment is an approach that clinicians use to evaluate their elderly patients' overall health status and to help them choose treatment appropriate to their age and condition. (kuer.org)
Patients with advanced2
- Hall and his team had previously conducted a phase 2 trial in a similar population of older, frail patients with advanced gastroesophageal cancer and found that the combination of oxaliplatin ( Eloxatin , Sanofi-Aventis) and capecitabine ( Xeloda , Hoffman-LaRoche) was more effective than capecitabine alone. (medscape.com)
- This is the largest randomized controlled trial to date specifically investigating frail and/or elderly patients with advanced gastroesophageal cancer, and the results should guide future treatment. (ed.ac.uk)
Heterogeneous1
- The decline in functional capacity is a heterogeneous phenomenon in the elderly. (mdpi.com)
Persons3
- Therefore, the aim of this study was to verify the self-perception of oral health conditions in elderly persons with different levels of frailty. (bvsalud.org)
- Fifty-eight elderly persons with a mean age of 77.1 (SD=8.5) were examined. (bvsalud.org)
- It is considered that other systemic conditions with greater impact on the daily lives of these elderly persons outweighed their oral conditions. (bvsalud.org)
Chronic1
- Elderly men and women, many of whom have multiple chronic conditions and comorbidities being treated with multiple medications, are particularly at risk (6-9). (cdc.gov)
Optimal clinical benefit1
- The goal of the study was to find the optimum dosage of capecitabine and oxaliplatin for use in older or frail patients and to determine the optimal clinical benefit, tolerability, quality of life, and patient satisfaction. (medscape.com)
Functional1
- The early identification of a frail status is essential for preventing loss of functional capacity, and its clinical consequences. (mdpi.com)
Outcome1
- In other words, frail elderly are more prone to severe outcome from illness and even medications. (myhealth.gov.my)
Nursing homes1
- Pockets of infections were discovered at convalescent hospitals and at nursing homes for the elderly in Gyeongsan, Bonghwa and Cheongdo. (latimes.com)
Treatment3
- As the frail elderly responds more sensitively to treatment, it is important to report any possible side effects from medications to your doctor. (myhealth.gov.my)
- Frail elderly are at higher risk to have postural hypotension from treatment of hypertension. (myhealth.gov.my)
- The treatment left him frailer, Griggs recalls. (kuer.org)
Severe1
- The goal of hypertension control may not be achieved if the elderly developes severe postural hypotension despite the adjustment of dose and type of the high blood pressure medications. (myhealth.gov.my)
Group3
- The group questions the study published in The American Journal of Psychiatry that claims ECT "was beneficial in sustaining mood improvement" for most elderly patients. (cchrint.org)
- The frail elderly presented a more positive self- -perception of their oral conditions when compared with those in the pre-frail group. (bvsalud.org)
- A total of 171 frail elderly individuals completed the experiment, including a Baduanjin group (BDJ), a strength and endurance training group (SE), and a combination of Baduanjin and strength and endurance training group (BDJSE), which lasted for 24 weeks. (qigonginstitute.org)
Vulnerability1
- Nonetheless, it was agreed that the distinctive trait in frail patients is an increased vulnerability to stress factors due to impairments in multiple systems that lead to a decline in homeostatic reserve and resiliency. (cancernetwork.com)
Predict1
- Based on the stacking model, it is possible to predict whether an elderly person will exhibit reversed frailty following an exercise program. (qigonginstitute.org)
Study5
- A recent study claims that electroshock therapy (ECT) is "beneficial" to the elderly. (cchrint.org)
- The study on a Novel Strategy for Continuation ECT in Geriatric Depression (Phase 2), flies in the face of reports indicating a potential high death rate for elderly patients who receive electroshock. (cchrint.org)
- They were then assessed by the paramedic on scene and only non-critically unwell frail or elderly patients who were deemed to potentially require transfer to hospital for further investigation were enrolled in the study to see if they could be managed safely at home. (scas.nhs.uk)
- This subgroup analysis of the ARISTOPHANES study compared the risk of stroke/systemic embolism (S/SE) and major bleeding (MB) amongst frail NVAF patients prescribed nonvitamin K antagonist oral anticoagulants (NOACs) or warfarin. (statinmed.com)
- This comparative retrospective observational study of frail, older NVAF patients who initiated apixaban, dabigatran, rivaroxaban or warfarin from 01JAN2013-30SEP2015 was conducted using Medicare and 3 US commercial claims databases. (statinmed.com)
Cancer patients2
- Most use reduced chemo schedules to treat frail and/or elderly gastroesophageal cancer patients, but without a good evidence base to guide them," he said. (medscape.com)
- Elderly cancer patients are in many cases suboptimally treated due to the assumption that treatments would be too toxic for them to tolerate. (cancernetwork.com)
Article1
- [5] He was also quoted in a New York Times article saying that ECT has been on the increase because "there's a market that's been exploited" with elderly women on Medicare. (cchrint.org)
Trial2
- A trial of paramedic-led home blood testing for frail and elderly patients who required an ambulance helped to prevent the need for transfer to hospital in more than half of cases. (scas.nhs.uk)
- The GO2 trial is the largest randomised controlled trial to date investigating frail and/or elderly. (ed.ac.uk)
Status1
- An accelerated ageing determines a frail status. (mdpi.com)
Population1
- For this reason, there is an urgent need to address this growing issue in the elderly population. (uspharmacist.com)
Women1
- Hormonal therapy may be a reasonable primary therapy in older frail women with hormone receptor-positive lesions. (cancernetwork.com)
Identify1
- Screening mammography in frail patients is questionable, and a clinical breast exam is likely to identify breast cancers that warrant intervention. (cancernetwork.com)
Proportion1
- A high proportion of those requiring respite are the elderly spouses of elderly patients, many of whom are living on low incomes. (canada.ca)
Years2
- The average age of patients at the time of diagnosis of advanced, inoperable gastroesophageal cancer is 75 years, and many are frail," Hall told reporters. (medscape.com)
- By the year 2030 most patients with breast cancer will be aged 65 years or more and many will be frail. (cancernetwork.com)
Blood1
- For example, elderly who is already on blood pressure medication may have a drastic drop in blood pressure if a prostate medication is added, leading to a fall from giddiness. (myhealth.gov.my)
Person1
- A frail person may slip his or her head or arm into one of the gaps and may not be able to extricate it," he says, "and that's where injury or death occurs. (wshu.org)
Important2
- This was due partly upon the prevailing ideology that it is important for frail elderly to stay in their own homes. (lu.se)
- It's important to step back and remember that there is a spectrum of the elderly. (digital-photography-school.com)
Subject1
- The frail elderly are the subject of a growing number of conferences, consensus panels, review articles, book chapters, editorials, and special issues in scientific journals. (oxfordbibliographies.com)
Oral1
- When clinical conditions were evaluated, the pre-frail who needed prosthetic rehabilitation classified their oral health in a negative manner. (bvsalud.org)